Individual
HUGO K ROESLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1141 S ROSE ST, SUITE A, KALAMAZOO, MI 49001-2652
(269) 344-8700
(269) 344-8199
Mailing address
2712 TALIESIN DR, KALAMAZOO, MI 49008-2015
(269) 344-8700
(269) 344-8199
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301026293
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10 1352590
—
MI
01
—
10 30606
PHYSICIANS HEALTH PLAN
MI
01
—
12126
HEALTH PLAN OF MI
MI
Enumeration date
03/01/2006
Last updated
10/10/2011
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